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General NPI Number Information
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NPI Number | 1699778944
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Entity Type | Individual
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Provider Name | JASON DANIEL HATCHER DO
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 233 N HOUSTON RD SUITE 140-E
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3074
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Country | US
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Telephone | 478-975-6880
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Fax | 478-975-6879
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Provider Business Mailing Address
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Address Line | 233 N HOUSTON RD SUITE 140-E
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3074
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Country | US
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Telephone | 478-975-6880
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Fax | 478-975-6879
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 050635
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS8371
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License Number State | FL
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